Hospital Name: Arnot-Ogden Medical Center*
PFI # 0116
Complaints:
| Complaint Information: | 2002 |
| Complaint Investigations Completed | 7 |
| Complaints with Statements of Deficiencies (SOD) Issued | 3 |
| % of Complaints with SODs Issued | 43% |
| Regional % of Complaints with SODs Issued | 28.6% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited | Date Plan of Correction Accepted |
| 11/13/2002 | 405.7 | PATIENT RIGHTS -HOSPITAL RESPONSIBILITIES | 12/11/02 |
| 11/13/2002 | 405.19 | EMERGENCY SERVICES GENERAL -POLICIES & PROCEDURES | 12/11/02 |
| 11/8/2002 | 405.43 | ORDERS NOT TO RESUSCITATE -PRIMARY DECISION-MAKING | 12/11/02 |
| 11/8/2002 | 405.43 | ORDERS NOT TO RESUSCITATE -POLICIES & PROCEDURES | 12/11/02 |
| 11/7/2002 | 405.5 | NURSING SERVICES -DELIVERY OF SERVICES | 11/27/02 |
| 11/7/2002 | 405.2 | GOVERNING BODY -CARE OF PATIENTS | 11/27/02 |
Areas Cited as a Result of Surveys:
| DATE OF SURVEY | TYPE | Areas Cited: | Date Plan of Correction Accepted |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V280 - ER PERIODIC DRILLS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V141 - CHIEF EXECUTIVE OFFICE STAFF TRAINING | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V159 - PT CARE POLICIES DEVELOPMENT AND REVIEW | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V166 - PT CARE POLICIES RX SERVICES | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V187 - WRITTEN LONG TERM PLAN | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V240 - MEDICAL RECORDS ORDERS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V256 - PHYSICAL ENVIRONMENT CONSTR & MAINTAIN FOR SAFETY | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V257 - PHYSICAL ENVIRONMENT FIRE EXT & EVAC PLANS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V258 - PHYSICAL ENVIRONMENT EQUIPMENT PM | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V259 - PHYSICAL ENVIRONMENT FREE OF HAZARDS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V261 - PHYSICAL ENVIRONMENT WATER TREATMENT | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V263 - AAMI-DIALYSATE BACTERIOLOGY | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V112 - GOVERNING BODY HEALTH & SAFETY | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V272 - PREVENT CROSS CONTAMINATION | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V365 - SAMPLE FOR PRESENCE | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V303 - DIALYZER REPROCESSING MANUAL | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V310 - TRAINING CURRICULUM | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V311 - TRAINING DOCUMENTED | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V318 - UTILITY REQUIREMENTS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V325 - PERSONNEL PROTECTION | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V327 - REUSE SUPPLIES SPECS & TESTS | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V328 - INVENTORY CONTROL | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V335 - START TIME FOR REPROCESSING | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V337 - CLEANING | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V344 - FILLING WITH GERMICIDE, CAP CLEANING | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V346 - GERMICIDE CONCENTRATION VERIFICATION | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V347 - EXTERIOR CLEANING | 10/30/02 |
| 7/23/2002 - 7/25/2002 | TITLE 18 | V264 - AAMI-CHEM CONTAM | 10/30/02 |